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Organization

LIFE ENHANCEMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERB GRAY (CEO)
(919) 956-7176
Entity
Organization

Contact information

Practice address
3274 ROSEHILL RD, SUITE 1, FAYETTEVILLE, NC 28301-3005
(919) 264-2253
(919) 882-9488
Mailing address
411 W CHAPEL HILL ST, SUITE 902, DURHAM, NC 27701-3616
(919) 956-7176
(919) 682-2339

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NC

Other

Enumeration date
06/14/2009
Last updated
06/14/2009
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